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Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? -
ANSWERS-Ask the provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? -ANSWERS-Hemoglobin
What ECG finding is indicative of hyperkalemia? -ANSWERS-Peaked T
waves
You witness a patient that is not assigned to you fall out of bed and begin
crying for help but you do not see the assigned nurse to assist the patient.
What should you do first? -ANSWERS-Check on the patient's status and
call for assistance.
When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? -ANSWERS-
Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should
you collect their repeat potassium level? -ANSWERS-30-60 min
,Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? -
ANSWERS-ECG
Your patient is undergoing a weaning trial from the ventilator. Fifteen
minutes into the trial the patient's heart rate increases to 140 bpm and they
start to grab at their oxygen and IV tubing. What should you do NEXT? -
ANSWERS-Stop weaning and rest the patient
While assessing a patient just admitted to the hospital, he admits to
drinking 12 cans of beer a day, with the last drink being right before
admission. What is the expected onset of delirium tremens? -ANSWERS-
Within 48-72 hours
You have administered a pain medication that has a half-life of 120
minutes, onset of action 6 min, Tmax of 15 minutes, and is mostly excreted
in the urine. When can the patient expect the medication to start working? -
ANSWERS-6 minutes
A lethargic but oriented patient is being admitted for sepsis and their family
member is in the waiting area. Their belonging include a ring, cell phone,
and wallet. The patient asks if they can keep the ring on and phone at
bedside. What is your BEST response? -ANSWERS-It is best if your family
takes your belongings.
What is a significant complication of imaging studies performed with IV
contrast? -ANSWERS-Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST? -ANSWERS-BiPAP
, Your intubated and unresponsive patient is scheduled for surgery in the
morning. Who is the most appropriate person to make decisions for your
patient? -ANSWERS-The healthcare POA
When administering a titratable infusion what information must you check
on the medication IV bag to confirm the correct dose is being
administered? -ANSWERS-Concentration
Your patient has a known baseline heart rate of around 45. The ECG
monitor keeps alarming when the heart rate decreases below 50. Their vital
signs are stable. What would you do? -ANSWERS-Adjust the alarm
parameters
How is dopamine usually administered in the ICU when given
intravenously? -ANSWERS-Titratable continuous infusion
When donning an N-95 mask, how should you secure the nose? -
ANSWERS-Fit the nose piece with both hands
What type of medication is used in the critical care setting to help manage
the symptoms of alcohol withdrawal? -ANSWERS-Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions
should you take? -ANSWERS-Carefully inspect items for presence of
sharps.
Your patient is intubated and begins to cough up clear mucous inside their
ETT. What should you do NEXT? -ANSWERS-Provide 100% oxygenation
and prepare to suction